Active NPI
Hong Kang, LCO/LP
- Orthotist
- Mount Vernon, WA
National Provider Identifier
1659918589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- OI.60841234
- Practice address
- 1520 Roosevelt Ave
Mount Vernon, WA 98273-2685 - Phone
- (360) 416-6505
- Fax
- (360) 416-8241
- NPI assigned
- Dec 10, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | PS.60990671 | WA | |
| Orthotist | 222Z00000X | OI.60841234 | WA | Primary |
Addresses
Primary practice location
1520 Roosevelt Ave
Mount Vernon, WA 98273-2685
Mailing address
1520 Roosevelt Ave
Mount Vernon, WA 98273-2685
Phone (360) 416-6505
Other practice location 1
566 N 5th Ave
Sequim, WA 98382-3079
Phone (360) 797-1001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | hkang@cornerstonepo.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OI.60841234 | WA | MD | Orthotist |
| PS.60990671 | WA | MD | Prosthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575936000000",
"number": "1659918589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 ROOSEVELT AVE",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732685",
"telephone_number": "360-416-6505",
"fax_number": "360-416-8241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 ROOSEVELT AVE",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982732685",
"telephone_number": "360-416-6505",
"fax_number": "360-416-8241"
}
],
"practiceLocations": [
{
"address_1": "566 N 5th Ave",
"address_purpose": "LOCATION",
"city": "Sequim",
"state": "WA",
"postal_code": "983823079",
"country_code": "US",
"telephone_number": "360-797-1001",
"fax_number": "360-797-1003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANG",
"first_name": "HONG",
"credential": "LCO/LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-10",
"last_updated": "2019-12-10",
"certification_date": "2019-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "WA",
"license": "PS.60990671",
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "WA",
"license": "OI.60841234",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "hkang@cornerstonepo.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1520 Roosevelt Ave",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982732685",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.